How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $46.77 | Professional | None | $29.51 | $44.67 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,786.30 | $5,888.44 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $56.23 | Professional | None | $25.12 | $44.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $2,691.53 | Facility | None | $426.58 | $549.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $64.57 | Professional | None | $23.99 | $38.02 | $64.57 |
ConnectiCare Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $81.28 | Professional | None | $21.38 | $35.48 | $81.28 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $93.33 | Professional | None | $26.30 | $36.31 | $93.33 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $22.39 Typical High $23.44 | Professional | 52 · Reduced service | $16.98 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.91 Typical High $9.33 | Professional | 53 · Discontinued | $6.92 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $33.11 Typical High $35.48 | Professional | 54 · Surgery only | $25.70 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.76 Typical High $7.08 | Professional | 55 · Aftercare only | $5.13 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.47 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.39 | $4.47 | $4.68 |
Where Connecticut sits
The same service costs 4.1 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 13th of 51
$44.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.